Talent Release form

Talent Release Form

Talent Name

First Name

Last Name

Please enter your full name.

Phone Number

Email Address

Please enter your email so we can get in touch.

Date of event

I agree to allow the City of Holdfast Bay to use my image/photograph or footage in its publications. I understand and consent that the City of Holdfast Bay may:

Use my images, photographs or video footage.
Reproduce the image or photograph in any form, in whole or in part.
Publish the image or photograph in any of its mediums including but not limited to Our Place magazine, brochures, flyers, Annual Report, City of Holdfast Bay's website, other online communications such as social media, or advertising and promotions.
In signing this Talent Release Form I understand that any photographs supplied to me either through sale or as a gift cannot be used for commercial purposes without the written permission of the City of Holdfast Bay.

I understand that the City of Holdfast Bay:

Will not pay me for giving this consent or for the use of my image or photograph.
May keep the image or photograph on record.
May use the image or photograph in the future, unless I specify limitations for its use or terminate this consent in writing.
Will not infringe the rights of any third party by exercising its rights given in this consent.

All personal information collected by the City of Holdfast Bay is used only to conduct council business and in the provision of council services to its customers. For more information please view our Privacy Policy

Signature if over 18 years of age.

Parent/guardian consent if under 18 years of age.

First Name

Last Name

Name of Minor/s

add comm after each

Relationship to minor/s

i.e parent, caregiver etc.

Signature of parent/guardian if under 18 years of age.